Jump Start Pediatric Therapy, Llc in Coeur D Alene - Physical Therapy
Jump Start Pediatric Therapy, Llc - NPI 1144494105
Jump Start Pediatric Therapy, Llc is a Physical Therapy in Coeur D Alene, Idaho. Jump Start Pediatric Therapy, Llc practices all healthcare services and medical treatments related to Physical Therapy. The NPI Number for Jump Start Pediatric Therapy, Llc is 1144494105. The last update date is 2012-01-30.
Jump Start Pediatric Therapy, Llc's current location address is 411 W Haycraft Ave, Coeur D Alene, Idaho. You can contact this provider via phone number 2086642468 and fax number 2086676239. The mailing address for Jump Start Pediatric Therapy, Llc is 411 W Haycraft Ave, Coeur D Alene, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jump Start Pediatric Therapy, Llc |
|---|---|
| Address | 411 W Haycraft Ave, Coeur D Alene, Idaho |
| Phone Number | 2086642468 |
| Fax Number | 2086676239 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER / PH |
|---|---|
| Authorized Official Name | Sanders Ellison |
| Credentials | PT |
| Telephone Number | 2086642468 |
NPI Number Detail
| NPI Number | 1144494105 |
|---|---|
| Provider Enumeration Date | 2008-04-21 |
| Last Updated Date | 2012-01-30 |
Provider Mailing Address Detail
| Address | 411 W Haycraft Ave |
|---|---|
| City | Coeur D Alene |
| State | Idaho (ID) |
| Post Code | 838158105 |
| Phone Number | 2086642468 |
| Fax Number | 2086676239 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy |
|---|---|
| Taxonomy | 261Qp2000X |
| Licence No | PT-2061 |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical a |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 807908300 | ID | -- | |
| 10164610 | REGENCE BLUE SHIELD | ||
| TD687 | BLUE CROSS OF IDAHO |
Post Comment/ Review Below
What is the unique identifier code issued to Jump Start Pediatric Therapy, Llc by the Centers for Medicare & Medicaid Services?
The Jump Start Pediatric Therapy, Llc has been assigned the NPI (National Provider Identifier) 1144494105. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jump Start Pediatric Therapy, Llc located?
The Jump Start Pediatric Therapy, Llc is located at 411 W Haycraft Ave, Coeur D Alene, ID 838158105.
What is the area of specialization for Jump Start Pediatric Therapy, Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jump Start Pediatric Therapy, Llc is Physical Therapy, and the corresponding taxonomy code that categorizes this area of expertise is 261Qp2000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1144494105 to Jump Start Pediatric Therapy, Llc?
The Centers for Medicare & Medicaid Services assigned the 1144494105 to Jump Start Pediatric Therapy, Llc on 2008-04-21.
As of what date was the information regarding Jump Start Pediatric Therapy, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jump Start Pediatric Therapy, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-01-30.
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